One health shared responsibility


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This was presented in the first national public health conference of Bangladesh in January, 2013

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One health shared responsibility

  1. 1. One Health, Shared Responsibility Shamim Ahmed Yael VellemenNational Public Heath Conference 2013
  2. 2. Prologue» It is a well-established truism that a successful effort to reduce disease and improve wellbeing requires preventive as well as curative interventions.» Despite this underlying truth, the roles of ‘prevention’ and ‘cure’ are often split among different institutions and professional communities, causing a practice gap that results in poor progress on prevention.» In no other area is this gap more evident, than the links between the health and the water, sanitation and hygiene (WaSH)
  3. 3. Objective»The purpose of this presentation was to draw attention to simple, workable practices that can bring the varied sets of actors together, in a cost-effective and holistic approach that will deliver better health outcomes for Bangladesh’s
  4. 4. Methods»Available secondary literatures»Peer reviewed (or not!)»Policy papers › to establish the association between the claimed hypothesis of the need for joining health and WaSH expertise for better public health outcomes which is self-evident, and has led to the introduction of public health
  5. 5. Discussion WaSH vs Vaccination[prevention (vaccines) and cure (ORS, zinc, antibiotics) ] Hand washing vs Vaccination for Avian Influenza Nutrition Urban vs
  6. 6. Nutrition vs
  7. 7. Economic impact» The total economic impact of inadequate sanitation in Bangladesh has been estimated at £2.5 billion in 2007, equivalent to 6.3% of GDP.» Health-related impacts account for 85% of this burden, with a per capita health burden of £15 per capita per year. › Abul Barkat (2010) Economic Impacts of Inadequate Sanitation in Bangladesh, Dhaka
  8. 8. Policy» National Health Policy 2011» National Nutrition Plan of Action 1997» National Food Policy Plan of Action 2008-15» National Agriculture Policy 2010» National Food Safety Policy/National Food Safety plan of action 2012» Infant & Young Child Feeding (IYCF) National Plan of Action 2009-2011» National Strategy for Infant & Young Child Feeding in Bangladesh 2007/
  9. 9. Policy» National Fisheries and Livestock Policy» NNS operational plan 2011-16» Bangladesh Country Investment Plan 2010» 3rd NATIONAL STRATEGIC PLAN FOR HIV and AIDS RESPONSE 2011-2015» Maternal Health Review Bangladesh 2003» Integrated Management of Childhood Illness
  10. 10. Implication»There are mention of water and sanitation in the national health policy several times.»It has been given certain level of importance by mentioning why without water, sanitation overall health goals can’t be achieved.»But hygiene is not adequately mentioned and there is no specific instruction or way forward given in the national health policy regarding
  11. 11. Implication»WaSH has been almost ignored in all the nutrition related documents and received almost no attention in any of the policies.»Hygiene has been addressed scattered but why it is associated with WaSH and nutrition is
  12. 12. Implication»Nothing has been mentioned about WaSH in this policy. (HIV/AIDS strategies)»None of the words ‘water’, ‘sanitation’, ‘hygiene’, ‘toilet’, ‘latrine’, has been mentioned even for once in the
  13. 13. Collaborations» Ministry of Health, Donor Govt health programs (e.g., USAID, UKAID), health clinics (e.g., AIDS clinic or MCH clinic), health care worker programs, Nutrition programme, Neglected Tropical Disease programmes such as trachoma or helminth control, academic health institutions (e.g. schools of public health), health-focused NGO partners such as Save the Children, PLAN, CARE, CSO coalitions (HIV/AIDS Alliance, other CSO coalitions and networks)
  14. 14. CollaborationsWhy WaSH and Health should collaborate?»The health sector can play an important proactive role in public health improvements through intersectoral collaboration; the Ministry of Health and Family Welfare can and should become an advocate for public health beyond the medical aspects of the healthcare
  15. 15. Collaborations»The human resources capacity of the Ministry as well as its broad network of service delivery systems down to the community level including female Community Health Volunteers offer potential for leveraging additional resources to advance WASH provision, and is critical for achieving sustained results by increasing political prioritization for
  16. 16. Collaborations»The health sector has an excellent Health Management Information System (HMIS) that produces a range of detailed service delivery information, which could allow better WASH planning based on the WASH-related burden of disease.»Equity->inclusion->
  17. 17. Concluding remarks» To strengthen institutional functional strategic links between the health and WASH sectors for overall effectiveness of WASH programme performance, resulting in the inclusion of WaSH in the promotional work of the health sector» To provide strategic support and technical inputs to any ‘WASH in Health’ related policies, strategies and programme development
  18. 18. Concluding remarks» To establish links and relationships with health academia, research, networks, organizations, external development partners, INGOs, and specialized organizations to enrich WASH practice through evidence-based learning and programming» To contribute to the reduction of the WASH-related disease burden through collective work by WASH and health organizations, and strengthen the health sector through WAN’s technical expertise on the health-related aspects of
  19. 19. Concluding remarks» To provide technical support and emphasize the links between poor WASH and health outcomes, poverty, marginalization, and social
  20. 20. THANKS WaterAid House 97/B, Road 25, Block A Banani, Dhaka 1213, Bangladesh Tel.: +880 2 8815757, 8818521 Fax: +880 2 9882577